Individual
DR. BERNARD N. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 21ST ST, SANTA MONICA, CA 90402-3034
(310) 393-7758
(310) 393-7758
Mailing address
502 21ST ST, SANTA MONICA, CA 90402-3034
(310) 393-7758
(310) 393-7758
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
CFE025308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CFE025308
CALIFORNIA BOARD OF MEDICAL EXAMINERS
CA
Enumeration date
08/04/2011
Last updated
08/04/2011
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